NPIMap

Organization Active NPI

City of Portland

  • Case Management Agency
  • Portland, ME
National Provider Identifier
1053596676
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
761 Issued in ME
Legal business name
CITY OF PORTLAND
Practice address
196 Lancaster St
Portland, ME 04101-2418
Phone
(207) 775-7911
Fax
(207) 775-7918
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Heidi J Waterhouse
Title
Senior Accountant
Phone
(207) 775-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 761 ME Primary

Addresses

Primary practice location

196 Lancaster St
Portland, ME 04101-2418

Mailing address

196 Lancaster St
Portland, ME 04101-2418
Phone (207) 775-7911

Other identifiers 2

IdentifierTypeStateIssuer
136040501MedicaidME
136040500MedicaidME

Other names 1

  • Family Shelter Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Portland Maine HHS PHD10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

196 Lancaster St
Portland, ME 04101
Phone (207) 775-7911

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1053596676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 LANCASTER ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012418",
            "telephone_number": "207-775-7911",
            "fax_number": "207-775-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 LANCASTER ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012418",
            "telephone_number": "207-775-7911",
            "fax_number": "207-775-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PORTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "WATERHOUSE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT",
        "authorized_official_telephone_number": "207-775-7911",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136040501",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136040500",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Shelter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.